DCA08MA085

NTSB accident investigation · Raytheon Corporate Jets BAE 125-800A · Owatonna, MN · July 31, 2008

Accident · FatalClass 1 · MajorFinal report
Date
July 31, 2008, 09:45 local (14:45 UTC)
Place
Owatonna, MN
Injuries
8 fatal
Damage
Destroyed
Phase of flight
Landing
Aircraft
N818MVRaytheon Corporate Jets BAE 125-800A
Defining event
Landing-aborted after touchdown: Collision during takeoff/land
Weather
Visual (VMC) · Day
Status
Completed · report June 20, 2011
Report
Board-adopted at Board Meeting
Investigation class
Class 1
NTSB office
Major Investigations Division
Parties
FAA AAI-100, East Coast Jets Inc., Hawker Beechcraft Corporation, Honeywell Aerospace
Safety recommendations
Yes
FAA report
20080731841749A
Case key
68571

From the NTSB’s public API. By law, NTSB reports can’t be used as evidence in lawsuits over the accident.

On this page

Probable cause

The captain’s decision to attempt a go-around late in the landing roll with insufficient runway remaining. Contributing to the accident were (1) the pilots’ poor crew coordination and lack of cockpit discipline; (2) fatigue, which likely impaired both pilots’ performance; and (3) the failure of the Federal Aviation Administration to require crew resource management training and standard operating procedures for Part 135 operators.

Findings · 9

NTSB’s coded findings. Those marked are part of the probable cause; the rest are factors or other findings. Under each, the cases with the same finding.

Sequence of events

The events NTSB coded, in order, by phase of flight. The defining event is the one that best describes the accident. Under each, the cases with the same event anywhere in their sequence.

Analysis

The Safety Board’s full report is available at http://www.ntsb.gov/publictn/A_Acc1.htm. The Aircraft Accident Report number is NTSB/AAR-11/01.

On July 31, 2008, about 0945 central daylight time, East Coast Jets flight 81, a Hawker Beechcraft Corporation 125-800A airplane, N818MV, crashed while attempting to go around after landing on runway 30 at Owatonna Degner Regional Airport, Owatonna, Minnesota. The two pilots and six passengers were killed, and the airplane was destroyed by impact forces. The nonscheduled, domestic passenger flight was operating under the provisions of 14 Code of Federal Regulations Part 135. An instrument flight rules flight plan had been filed and activated; however, it was canceled before the landing. Visual meteorological conditions prevailed at the time of the accident.

Factual narrative

The Safety Board’s full report is available at http://www.ntsb.gov/publictn/A_Acc1.htm. The Aircraft Accident Report number is NTSB/AAR-11/01.

On July 31, 2008, about 0945 central daylight time, East Coast Jets flight 81, a Hawker Beechcraft Corporation 125-800A airplane, N818MV, crashed while attempting to go around after landing on runway 30 at Owatonna Degner Regional Airport, Owatonna, Minnesota. The two pilots and six passengers were killed, and the airplane was destroyed by impact forces. The nonscheduled, domestic passenger flight was operating under the provisions of 14 Code of Federal Regulations Part 135. An instrument flight rules flight plan had been filed and activated; however, it was canceled before the landing. Visual meteorological conditions prevailed at the time of the accident.

Aircraft

Registration
N818MV
Reported as
Raytheon Corporate Jets BAE 125-800A
Category
Airplane
Serial number
258186
Airframe hours
6,567
Engines
Garrett TFE731-5R-1H, 4,300 lbs thrust, turbo fanGarrett TFE731-5R-1H, 4,300 lbs thrust, turbo fan
Damage
Destroyed
Flight
Part 135
Operator
East Coast Jets Inc.,
Registered owner
MVA Aircraft Leasing Inc.
Airworthiness certificate
Standard, Transport
Last inspection
Continuous airworthiness · December 1, 2007
Departed
ACY · Atlantic City, NJ
Destination
OWA · Owatonna, MN
Flight plan
IFR
Airport
OWA · Owatonna Degner Regional, runway 30, 5,500 × 100 ft, concrete

Matched to the registry by N-number and the event date; the registry’s history has gaps, so older matches can be wrong. Compare the reported make and model.

Flight crew

As NTSB recorded them. NTSB leaves out names.

Role
Pilot
Age
40
Injuries
Fatal
Certificates
Commercial, Flight instructor, Airline transport
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 1
Last flight review
May 1, 2008
Seat
Left
Toxicology
Performed
Flight hours
3,596 total · 1,186 in this make and model · 2,760 as pilot in command · 109 in the last 90 days · 22 in the last 30 days · 3 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
180° at 3 knots
Visibility
10 statute miles
Lowest ceiling
10,000 ft broken
Temperature
64 °F, dew point 61 °F
Altimeter
29.85 inHg
Observed at
OWA

Docket · 76

The files NTSB released with the investigation on February 4, 2009, on NTSB’s docket system: statements, records, photos and specialists’ reports. 107 MB in all.

Meteorology 5 - Factual Report of Group ChairmanItem 1 · .PDF · 2.6 MBATC 3 - FAA Accident PackageItem 2 · .PDF · 1.6 MBWitness 4 - Factual Report of Group ChairmanItem 3 · .PDF · 4.9 MBSurvival Factors 6 - Factual Report of Group ChairmanItem 4 · .PDF · 268 KBPowerplants 8 - Factual Report of Group ChairmanItem 5 · .PDF · 1.3 MBPowerplants 8 - Addendum 1, Honeywell DEEC Readout and AnalysisItem 6 · .PDF · 700 KBPowerplants 8 - Errata Sheet to Factual ReportItem 7 · .PDF · 174 KBSurvival Factors 6 - Attachment 1, PhotosItem 8 · .PDF · 2.4 MBSurvival Factors 6 - Attachment 2, Safety Briefing CardItem 9 · .PDF · 837 KBSurvival Factors 6 - Attachment 3, Pathologic FindingsItem 10 · .PDF · 34 KBSurvival Factors 6 - Attachment 4, OFD accident responseItem 11 · .PDF · 106 KBSurvival Factors 6 - Attachment 5, OWA Master record & airport inspectionItem 12 · .PDF · 394 KBSurvival Factors 6 - Attachment 6, NOTAMsItem 13 · .PDF · 119 KBSurvival Factors 6 - Attachment 7, MSP Friction for OWA 30Item 14 · .PDF · 424 KBSurvival Factors 6 - Attachment 8, FAA Photos of OWAItem 15 · .PDF · 538 KBOperations 2 - Factual Report of Group ChairmanItem 16 · .PDF · 363 KBOperations 2 - Attachment 1 - Interview SummariesItem 17 · .PDF · 251 KBOperations 2 - Attachment 2 - Flight PlanItem 18 · .PDF · 492 KBOperations 2 - Attachment 3 - ECJ81 Flight DocumentsItem 19 · .PDF · 1.4 MBOperations 2 - Attachment 6 - Crew Qualification ChecksItem 20 · .PDF · 1.1 MBOperations 2 - Attachment 10 - Left MLG WOWItem 21 · .PDF · 94 KBOperations 2 - Attachment 9 - FAA AFD LegendItem 22 · .PDF · 272 KBOperations 2 - Attachment 8 - Simulator FlightItem 23 · .PDF · 35 KBOperations 2 - Attachment 7 - EGPWS Mode 4BItem 24 · .PDF · 68 KBOperations 2 - Attachment 5 - Simcom ProfilesItem 25 · .PDF · 134 KBOperations 2 - Attachment 4 - Raytheon and Simcom ChecklistsItem 26 · .PDF · 954 KBATC 3 - Factual Report of Group ChairmanItem 27 · .PDF · 968 KBHuman Performance 14 - Factual Report of Group ChairmanItem 28 · .PDF · 71 KBCockpit Voice Recorder 12 - Factual Report of Group ChairmanItem 29 · .PDF · 272 KBMaterials Laboratory 15 - Factual Report 08-120Item 30 · .PDF · 323 KBMaintenance Records 11 - Attachment 1 - Air Carrier CertificateItem 31 · .PDF · 86 KBMaintenance Records 11 - Attachment 2 - Type Certificate Data SheetItem 32 · .PDF · 314 KBMaintenance Records 11 - Attachment 3 - Deferred Discrepancies ListItem 33 · .PDF · 22.8 MBMaintenance Records 11 - Attachment 4 - Supplemental Type CertificateItem 34 · .PDF · 2.2 MBMaintenance Records 11 - Attachment 5 - Airworthiness Directive and Service Bulletin RecordsItem 35 · .PDF · 4.8 MBMaintenance Records 11 - Attachment 7 - Weight and Balance DataItem 36 · .PDF · 255 KBMaintenance Records 11 - Attachment 8 - Major Repair and AlterationItem 37 · .PDF · 215 KBSurvival Factors 6 - Addendum CItem 38 · .PDF · 15 KBMaintenance Records 11 - Attachment 9 - Computerized Aircraft Maintenance SystemItem 39 · .PDF · 22.3 MBMaintenance Records 11 - DOM and PMI StatementsItem 40 · .PDF · 17 KBMaintenance Records 11 - Attachment 6 - Maintenance LogbookItem 41 · .PDF · 5.2 MBSurvival Factors 6 - Addendum AItem 42 · .PDF · 15 KBMaintenance Records 11 - Factual Report of Group ChairmanItem 43 · .PDF · 127 KBAirworthiness - Factual Report of Group Chairman with 2 embedded photosItem 44 · .PDF · 993 KBAirworthiness - Attachment 1, Wreckage DiagramItem 45 · .PDF · 388 KBAirworthiness - Attachment 2, EGPWS DataItem 46 · .PDF · 20 KBAirworthiness - Attachment 4, FMS Report with 8 embedded photosItem 47 · .PDF · 460 KBAirworthiness - Attachment 5, Ground Test ProposalItem 48 · .PDF · 104 KBAircraft Performance 13 - Factual Report of Group ChairmanItem 49 · .PDF · 560 KBCockpit Voice Recorder 12 - Addendum 1Item 50 · .PDF · 92 KBAirworthiness - Attachment 3, EGPWS STC Wiring DiagramItem 51 · .PDF · 1.0 MBERRATA to Aircraft Performance 13 - Factual Report of Group ChairmanItem 52 · .PDF · 571 KBCockpit Voice Recorder 12 - ErrataItem 53 · .PDF · 282 KBCorrespondence No 1: ECJs Notes for the Tech ReviewItem 54 · .PDF · 696 KBCorrespondence No.2: NTSB's Response to ECJ's Notes for the Tech ReviewItem 55 · .PDF · 723 KBCorrespondence No. 2A: NTSB's Explanation to ECJ of the CVR Group's Reconvening MethodologyItem 56 · .PDF · 223 KBCorrespondence No. 3: ECJ's Email of 07262009Item 57 · .PDF · 38 KBCorrespondence No. 5: ECJ's Letter of 07/102009 to the NTSB, via Congressman DentItem 58 · .PDF · 2.0 MBAirworthiness - Supplementary Data, Wreckage Diagram Data PointsItem 59 · .TXT · 14 KBRelease of Aircraft Wreckage, NTSB Form 6120.15Item 60 · .PDF · 97 KB
All 76 files on NTSB’s docket

FAA reports on this event · 1

The FAA’s own accident and incident reports, matched to the aircraft by N-number and date.

Other investigations on N818MV · 1

Matched to the same aircraft by N-number and date.